Individual
DR. EDWARD M YOUNG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5204 MELVIN AVENUE, TARZANA, CA 91356-3805
(818) 343-6653
(818) 343-6683
Mailing address
3710 SO ROBERTSON BLVD, SUITE 201, CULVER CITY, CA 90232-2347
(310) 202-6204
(310) 202-0831
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
G045532
CA
Other
Enumeration date
11/17/2006
Last updated
04/19/2012
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